Clinical considerations and challenges in TAV-in-TAV procedures

Transcatheter aortic valve replacement (TAVR) has emerged as a viable treatment for aortic valve disease, including low-risk patients. However, as TAVR usage increases, concerns about long-term durability and the potential for addition interventions have arisen. Transcatheter aortic valve (TAV)-in-T...

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Main Authors: Ahmad Hayek, Cyril Prieur, Nicolas Dürrleman, Quentin Chatelain, Reda Ibrahim, Anita Asgar, Thomas Modine, Walid Ben Ali
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1334871/full
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author Ahmad Hayek
Ahmad Hayek
Cyril Prieur
Nicolas Dürrleman
Quentin Chatelain
Reda Ibrahim
Anita Asgar
Thomas Modine
Walid Ben Ali
author_facet Ahmad Hayek
Ahmad Hayek
Cyril Prieur
Nicolas Dürrleman
Quentin Chatelain
Reda Ibrahim
Anita Asgar
Thomas Modine
Walid Ben Ali
author_sort Ahmad Hayek
collection DOAJ
description Transcatheter aortic valve replacement (TAVR) has emerged as a viable treatment for aortic valve disease, including low-risk patients. However, as TAVR usage increases, concerns about long-term durability and the potential for addition interventions have arisen. Transcatheter aortic valve (TAV)-in-TAV procedures have shown promise in selected patients in numerous registries, offering a less morbid alternative to TAVR explantation. In this review, the authors aimed to comprehensively review the experience surrounding TAV-in-TAV, summarize available data, discuss pre-procedural planning, highlight associated challenges, emphasize the importance of coronary obstruction assessment and provide insights into the future of this technique.
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spelling doaj.art-b11225c4b44b47a59d75ddd5b4d50e032024-02-19T04:54:34ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-02-011110.3389/fcvm.2024.13348711334871Clinical considerations and challenges in TAV-in-TAV proceduresAhmad Hayek0Ahmad Hayek1Cyril Prieur2Nicolas Dürrleman3Quentin Chatelain4Reda Ibrahim5Anita Asgar6Thomas Modine7Walid Ben Ali8Structural Heart Intervention Program, Montreal Heart Institute, Montreal, QC, CanadaDepartment of Interventional Cardiology, Hospices Civils de Lyon, Lyon, FranceDepartment of Interventional Cardiology, Hospices Civils de Lyon, Lyon, FranceStructural Heart Intervention Program, Montreal Heart Institute, Montreal, QC, CanadaStructural Heart Intervention Program, Montreal Heart Institute, Montreal, QC, CanadaStructural Heart Intervention Program, Montreal Heart Institute, Montreal, QC, CanadaStructural Heart Intervention Program, Montreal Heart Institute, Montreal, QC, CanadaService Médico-Chirurgical: Valvulopathies-Chirurgie Cardiaque-Cardiologie Interventionelle Structurelle, Hôpital Cardiologique de Haut Lévèque, CHU Bordeaux, Bordeaux, FranceStructural Heart Intervention Program, Montreal Heart Institute, Montreal, QC, CanadaTranscatheter aortic valve replacement (TAVR) has emerged as a viable treatment for aortic valve disease, including low-risk patients. However, as TAVR usage increases, concerns about long-term durability and the potential for addition interventions have arisen. Transcatheter aortic valve (TAV)-in-TAV procedures have shown promise in selected patients in numerous registries, offering a less morbid alternative to TAVR explantation. In this review, the authors aimed to comprehensively review the experience surrounding TAV-in-TAV, summarize available data, discuss pre-procedural planning, highlight associated challenges, emphasize the importance of coronary obstruction assessment and provide insights into the future of this technique.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1334871/fullcoronary obstructionstructural valve deteriorationTAV-in-TAVTAVRCT planning
spellingShingle Ahmad Hayek
Ahmad Hayek
Cyril Prieur
Nicolas Dürrleman
Quentin Chatelain
Reda Ibrahim
Anita Asgar
Thomas Modine
Walid Ben Ali
Clinical considerations and challenges in TAV-in-TAV procedures
Frontiers in Cardiovascular Medicine
coronary obstruction
structural valve deterioration
TAV-in-TAV
TAVR
CT planning
title Clinical considerations and challenges in TAV-in-TAV procedures
title_full Clinical considerations and challenges in TAV-in-TAV procedures
title_fullStr Clinical considerations and challenges in TAV-in-TAV procedures
title_full_unstemmed Clinical considerations and challenges in TAV-in-TAV procedures
title_short Clinical considerations and challenges in TAV-in-TAV procedures
title_sort clinical considerations and challenges in tav in tav procedures
topic coronary obstruction
structural valve deterioration
TAV-in-TAV
TAVR
CT planning
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1334871/full
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